Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: I sympathize with Dr Zwelling-Aamot's
feeling of being harassed by paperwork.
Health services research confirms both the limitations of administrative
data for assessing quality of care1- 3 and
the contributions of the computer-base patient record (CBPR)4 to
improving patient safety.5,6 However,
the CBPR can have nationwide effect only with the widespread adoption of standardized,
automated systems capable of seamless exchange of medical records. Such an
infrastructure remains some years away.
Hsia D. Analysis of Generic Nevirapine Products in Developing Countries. JAMA. 2003;289(20):2648. doi:10.1001/jama.289.20.2648-c